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Case presentation Supervised by Professor Dr. Akram F. Al-Hwaizy - - PowerPoint PPT Presentation
Case presentation Supervised by Professor Dr. Akram F. Al-Hwaizy - - PowerPoint PPT Presentation
Case presentation Supervised by Professor Dr. Akram F. Al-Hwaizy Patient name: sajad mohammed Age: 17 years Adress : alsader city Chief complaint: when I close my mouth my teeth Dont come in contact, and I feel my lower jaw
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- Patient name: sajad mohammed
- Age: 17 years
- Adress : alsader city
- Chief complaint: “when I close my mouth my teeth
Don’t come in contact, and I feel my lower jaw is Projected forward.
- Medical history: no history
- Dental history: previous fillings and scaling
Without complications
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Skeletal examination
- Clinically:
Anteroposterior relation:
- CLIII
Facial profile:
- concave
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Skeletal examination
- Clinically:
Vertical proportions: Increased lower face height
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Skeletal examination
- Clinically:
Horizontal relation: Assymetric face Deviated nose to left Deviated chin to right
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Composite photographs
right left normal
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Dental examination
- Angle classification: CLIII
- Canine classification: CLIII
- Incisor classification: CLIII
- Over jet: -6
- Over bite: -10
- Anterior and posterior cross bite
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Space analysis
- Crowding
- 19.1 mm
1.5 mm 8 mm 9.6 mm
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Space analysis
- crowding
8.4 mm
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Congenitally missed third molars
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Cephalometric analysis
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Cephalometric analysis
measurement value Normal SNA 72 78-84 SNB 78 76-82 ANB
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2-4 MAX.P/MP 50 23-31 S-N-POG 79 80 U1/MAX.P 103 105-115 L1/MP 70 87-93
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Cephalometric analysis
measurement value Normal U1/L1 137 125-135 U1/N-POG 5 2-6 L1/N-POG 10
- 2-2
UPPER LIP /E-line 13 2-3 Lower lip /E-line 5 1-2 Nasolabial angle 99 94-110
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Problems list
- Skeletal class III
- Concave facial profile
- Increased lower facial height
- Deviated nose to left
- Deviated chin to right
- Anterior open bite
- Anterior and posterior cross bite
- Crowded upper and lower arch
- Lower midline shift to the right
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DIAGNOSIS AND TREATMENT PLANNING
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DIAGNOSIS AND TREATMENT PLANNING
- Skeletal class III with ant. Openbite and ant. And post. Crossbite
- Treatment planning:
- Expansion in upper arch
- Exrtraction of crowded laterals
- Leveling and alignment
- Bimaxillary orthognathic surgery(maxillary advancement with
impaction and mandibular setback)
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Other treatment planning
- Maxillary expansion
- Maxillary advancement and impaction
- Extraction of lower fours